Individual
MISS RUPHENIA SUE COMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1691 CLEAR FORK RD, HAZARD, KY 41701-7769
(606) 785-4487
Mailing address
1691 CLEAR FORK RD, HAZARD, KY 41701-7769
(606) 785-4487
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
F246MJ
KY
Other
Enumeration date
09/18/2008
Last updated
08/11/2015
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